Artikel
High re-bleeding rate in young adults suffering from ruptured giant intracranial aneuryms
Junge Patienten haben nach aneurysmatischer Subarachnoidalblutung aus Riesenaneurysmen eine hohe Nachblutungsrate
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Autoren
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Ralf Rothoerl
- Klinik und Poliklinik für Neurochirurgie, Klinikum der Universität Regensburg, Regensburg
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T. Finkenzeller
- Institut für Radiologie, Klinikum der Universität Regensburg, Regensburg
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C. Woertgen
- Klinik und Poliklinik für Neurochirurgie, Klinikum der Universität Regensburg, Regensburg
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A. Brawanski
- Klinik und Poliklinik für Neurochirurgie, Klinikum der Universität Regensburg, Regensburg
| Veröffentlicht: | 23. April 2004 |
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Gliederung
Text
Objective
Low re-bleeding rates within the first 14 days after aneurysmal subarachnoid hemorrhage are reported in young patients. Furthermore the re-bleeding rate for giant aneurysms does not exceed 20% according to the literature. Our own clinical impression is that the re-bleeding rate seems to be much higher in giant aneurysms than reported, particularly in young patients. The aim of this study was to evaluate re-bleeding rate after subarachnoid hemorrhage after rupture of giant aneurysms in a younger population.
Methods
The authors reviewed records of 23 patients who were treated in our institution for subarachnoid hemmorrhage from giant aneurysms between 1994 and 2003. By definition the aneurysms were larger than 25mm in diameter. 5 patients were younger than 40 years of age at the time of aneurysmal subarachnoid hemorrhage.
Results
All younger patients (< 40 years of age) showed re-bleeding after the first subarachnoid hemorrhage within the first 14 days after the initial event. In four patients (20%) older than 40 years at the time of the hemorrhage re-bleeding could be observed within the first 14 days after subarachnoid hemorrhage.
Conclusions
We can confirm the re-bleeding rate of about 20% in patients suffering from subarachnoid hemorrhage in the group of patients older than 40 years of age. But younger patients especially, seem to be at much higher risk of re-bleeding from giant aneurysms.
